DR. MATTHEW J HILSMAN D.O.
NPI 1306232715
Internal Medicine in Goldsboro, NC

Q: What is Matthew Hilsman's NPI number?

The NPI number for Matthew Hilsman is 1306232715. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Q: What is Matthew Hilsman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Hilsman was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2015PECOS EnrolledAccepts Medicare Assignment

2700 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534(919) 736-1110 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2021, Jul 2, 2018 (2 updates tracked since 2018).

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About Dr. Matthew J Hilsman D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MATTHEW J HILSMAN D.O. (NPI 1306232715) is an individual internal medicine provider in Goldsboro, North Carolina, licensed in North Carolina (2018-01406) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Unc Health Wayne, and maintains a secondary practice location in Wilmington.

NPPES Registry Identity

NPI1306232715

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. MATTHEW J HILSMANCredential: D.O.

Location Address2700 WAYNE MEMORIAL DRGoldsboro, NC 27534

Mailing Address2700 Wayne Memorial DrGoldsboro, NC 27534-9494 · (919) 736-1110 · Fax (919) 734-7570

Phone(919) 736-1110

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateApril 13, 2015

Last NPPES UpdateMarch 26, 20212 updates tracked since enumeration

NPPES CertifiedMarch 26, 2021

✔ NPI 1306232715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NC · 2018-01406

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 2018-01406 (NC)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 210163 (NC)

2700 WAYNE MEMORIAL DR, Goldsboro, NC 27534

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Secondary Practice Location 1

Location 12131 S 17th StWilmington, NC 28401-7407 · Phone (910) 343-7000 · Fax (910) 667-5650

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Matthew J Hilsman D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476867508

PECOS Enrollment IDI20180807002215

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

555 services186 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

125 services121 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

104 services51 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

45 services45 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unc Health Wayne

Acute Care Hospitals · Goldsboro, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340010

Location2700 Wayne Memorial DrGoldsboro, NC 27534 · Wayne County

Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number340114

Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27534 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers26 claims26 services$18.23 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers23 claims23 services$97.35 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUMMER GRAHAM CARR FNP

Nurse Practitioner (Family)